Therapist in Tacoma, Washington Thomas Fleming, Therapist
Gender Identity: Male (He/Him)
Ages Served: 18-75+
Appointments: Telehealth only. In-office visits not available
Manages Medications: No, provides therapy only
Accepts Insurance: Yes - View accepted plans
Thomas Fleming, MSW, LICSW
Specializes In:
Thomas Fleming helps adults throughout Washington navigate anxiety, grief, relationship challenges, and major life transitions with practical, compassionate, and goal-oriented therapy. As a Licensed Clinical Social Worker at LifeStance Health, he provides individual, couples, and family therapy for adults and older adults seeking meaningful change and improved emotional well-being. Thomas believes that therapy should be both supportive and actionable, creating a comfortable environment where patients can openly discuss their challenges while developing effective strategies for growth. Thomas is especially passionate about helping individuals work through anxiety, life transitions, grief and loss, trauma, and relationship concerns. He understands that significant life changes—whether expected or unexpected—can leave people feeling overwhelmed, disconnected, or uncertain about the future. Through a collaborative therapeutic process, he helps patients gain clarity, strengthen coping skills, process difficult experiences, and build confidence as they move forward. His approach emphasizes real-world solutions that support lasting emotional health and personal resilience. Drawing from evidence-based practices such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), mindfulness-based interventions, and additional therapeutic approaches, Thomas tailors treatment to each patient’s unique circumstances and goals. He works with adults experiencing depression, insomnia, stress-related concerns, and trauma-related symptoms, while also supporting couples and families seeking healthier communication and stronger relationships. Thomas has experience providing affirming care for members of the LGBTQ+ community and welcomes individuals from diverse backgrounds and life experiences. Since beginning clinical practice in 2017, Thomas has remained committed to helping patients create meaningful change and develop greater emotional flexibility. He earned his education from The City University of New York – Hunter College, Southern California University, and Seton Hall University. Outside of his professional work, Thomas enjoys reading, particularly books focused on psychology and personal growth, traveling, meditation, and maintaining an active lifestyle. His dedication to continuous self-development informs both his personal life and his work with patients, reinforcing his belief that growth and change remain possible throughout every stage of life.
Types of Care & Ages Served
- Individual Therapy: Ages 18-75+
- Family Therapy: Ages 18-75+
- Couples Therapy: Ages 18-75+
Areas of Focus
Individual Therapy
Get help addressing challenges and improve well-being with a clinician's guidance.
- Anxiety
- Panic attacks
- Stress management
- Aging
- Anger issues
- Attachment issues
- Bipolar Disorder
- Career & relationships (mid-life)
- Career & work issues
- Dementia & memory issues
- Depression/feeling down
- Empty nesters
- End-of-life challenges
- General relationship issues
- Grief & loss
- Intense mood changes
- Marital stress or divorce
- Men's health/issues
- Parenthood
- Phobias
- Premarital counseling
- Retirement
- Self-esteem
- Sexual trauma
- Sleep issues or insomnia
- Stress from ongoing health issues
- Trauma & PTSD
- Unhealthy eating habits
Family Therapy
Improve communication and resolve conflicts within family dynamics with a clinician's guidance.
- Anxiety
- Family conflict
- Panic attacks
- Stress management
- Aging
- Anger issues
- Career & relationships (mid-life)
- Caregiving
- Childhood behavioral issues
- Depression/feeling down
- Empty nesters
- End-of-life challenges
- General relationship issues
- Grief & loss
- Marital stress or divorce
- Men's health/issues
- Parenthood
- Parenting
- Phobias
- Premarital counseling
- Retirement
- School behavioral issues
- Self-esteem
- Sexual trauma
- Sleep issues or insomnia
- Social injustice
- Social skills & communication
- Trauma & PTSD
Couples Therapy
Helps partners address relationship conflict and improve communication with a clinician's guidance.
- Anxiety
- Attachment issues
- Panic attacks
- Stress management
- Aging
- Anger issues
- Career & relationships (mid-life)
- Career & work issues
- Caregiving
- Chronic pain-related issues
- Dementia & memory issues
- Depression/feeling down
- Empty nesters
- End-of-life challenges
- Family conflict
- General relationship issues
- Grief & loss
- Marital stress or divorce
- Men's health/issues
- Parenthood
- Parenting
- Phobias
- Premarital counseling
- Retirement
- Self-esteem
- Sex & intimacy issues
- Sexual trauma
- Sleep issues or insomnia
- Social skills & communication
- Trauma & PTSD
- Unhealthy eating habits
Insurances Accepted
- Aetna
- Carelon (Beacon)
- Centivo
- Claritev (MultiPlan PHCS)
- Curative
- Evernorth (Cigna)
- HealthSmart
- Kaiser Permanente Washington
- MediNcrease Health Plans (MHP)
- Northwell Direct
- Optum (UnitedHealthcare)
- Partners Direct Health
- Provider Network of America (PNOA)
- Quest Behavioral Health
- Regence BlueShield
- Sana Benefits
- TELUS Health (BHS)
- Tricare West (TriWest)
Languages
- English
Education
-
The City University of New York - Hunter College
-
southern california university
FAQs
Please call us at 253-201-3831 to schedule an appointment with Thomas Fleming.
Thomas Fleming generally accepts new patients but there could be a waitlist.
Please call 253-201-3831 to find out Thomas Fleming's schedule and availability.
LifeStance Health providers accept most commercial insurance plans that are offered in the states where we offer services, including telehealth. Please see the following list of insurances accepted by Thomas Fleming:
- Aetna
- Carelon (Beacon)
- Centivo
- Claritev (MultiPlan PHCS)
- Curative
- Evernorth (Cigna)
- HealthSmart
- Kaiser Permanente Washington
- MediNcrease Health Plans (MHP)
- Northwell Direct
- Optum (UnitedHealthcare)
- Partners Direct Health
- Provider Network of America (PNOA)
- Quest Behavioral Health
- Regence BlueShield
- Sana Benefits
- TELUS Health (BHS)
- Tricare West (TriWest)
If you don't see your insurance listed, please contact us at 253-201-3831 to see how we can help.
Thomas Fleming is a Therapist and cannot prescribe medication. However, most LifeStance offices have a Psychiatrist or APN on staff who can prescribe medication if needed.
Thomas Fleming works at:
Yes, Thomas Fleming does offer online telehealth visits.
No, Thomas Fleming is not currently offering in-office visits. They are offering online telehealth appointments.